Individual
BONNIE JANELLE O'REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1902 59TH ST W, BRADENTON, FL 34209-4602
(941) 761-1000
Mailing address
8526 ABALONE LOOP, PARRISH, FL 34219-1773
(941) 822-4767
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24082
FL
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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